Jon Nicastro PT

NPI 1003001140 - Physical Therapist - 225100000X

NPI Details
NPI 1003001140
Gender Male
Enumeration Date 09/12/2007
Last Updated 10/27/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
2205 S MAIN ST
LAS CRUCES NM, 88005-3113, US
Phone (575) 652-3515
Fax (575) 652-3518
Business Location
4441 E LOHMAN AVE
LAS CRUCES NM, 88011-8267, US
Phone (505) 636-7434
Fax
Toxanomy
Taxonomy Code 225100000X
License State New Mexico
License Number 4491
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According to our database, Mr. Jon Nicastro PT NPI is 1003001140, taxonomy code is 225100000X and license number is 4491, license state is located at New Mexico. Jon Nicastro PT physically located at 2205 S Main St, Las Cruces NM, 88005-3113. NPI Number Jon Nicastro PT has the Individual type.

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1003001140 NPI number is provided on an as is basis without warranty of any kind. 1003001140 is maintained by the National Plan & Provider Enumeration System. The contents of Jon Nicastro PT are for informational purposes only.